| NPI | 1326472424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 78463) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP123841) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 808131) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2024-04-27 |