| NPI | 1700256922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP129480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 805807) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-10-30 |