| NPI | 1235175472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP108127) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 587570) |
| 363L00000X Nurse Practitioner (Licence: TX 587570) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-12-06 |