| NPI | 1497836084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP111356) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 681135) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-07-07 |