| NPI | 1336173327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP113893) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 558854) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-01-18 |