| NPI | 1346338548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP104116) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 444828) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 444828) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-06-22 |