| NPI | 1730568338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP128744) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP128744) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 83065) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2020-08-18 |