| NPI | 1750472601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 245455) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 245455) |
| 363L00000X Nurse Practitioner (Licence: TX 038568921) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-12-21 |