| NPI | 1669615365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP117212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 624109) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2021-06-09 |