| NPI | 1730357021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 782431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 782431) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304818) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2011-12-22 |