| NPI | 1669428116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP125657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 854941) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2014-05-19 |