| NPI | 1275767063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1087161) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A03242) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP06414) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2023-01-17 |