| NPI | 1477946895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP112118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 582975) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |