| NPI | 1245692094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP136799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 843837) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-02-27 |