| NPI | 1649598210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP110502) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 657729) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2023-10-25 |