| NPI | 1407263478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP125261) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 851350) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-10-01 |