| NPI | 1487692919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP114511) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 625963) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-08-11 |