| NPI | 1629342951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP121656) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 679092) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2018-09-11 |