| NPI | 1811152556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX A0608025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 903901) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2015-05-06 |