| NPI | 1336420801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 659640) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 659640) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2019-09-28 |