| NPI | 1467664557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP110633) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 536615) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 536615) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-03-04 |