| NPI | 1538309315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP117651) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP117651) |
| 363L00000X Nurse Practitioner (Licence: TX 589263) | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2023-03-03 |