| NPI | 1396139978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP127785) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 868578) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 868578) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2020-10-14 |