| NPI | 1518194968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 119204) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 787818) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN081938) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2017-12-07 |