| NPI | 1285826495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP129871) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY f304660-1) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2022-06-29 |