| NPI | 1306386354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 810471) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2022-12-12 |