| NPI | 1235489808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP129917) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 685113) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP129917) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2020-06-26 |