| NPI | 1609848498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP105152) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 245946) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2022-02-10 |