| NPI | 1437232170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP125325) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008226) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP1012012) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-10-27 |