| NPI | 1639101959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R28269) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 721191) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP114469) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-06-06 |