| NPI | 1699011270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1052398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 976504) |
| 2279G1100X Respiratory Therapist, Registered, General Care (Licence: MD L0005579) | |
| Enumeration Date | 2012-12-29 |
| Last Update Date | 2022-01-11 |