| NPI | 1821179383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP109130) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 439322) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-05-01 |