| NPI | 1750411005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP113570) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TX 710722) |
| 363L00000X Nurse Practitioner (Licence: TX 710722) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-07-16 |