| NPI | 1851620116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP118245) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 711961) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2022-06-13 |