| NPI | 1740276591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 616612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP110479) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2019-12-27 |