| NPI | 1861605214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1077291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 756186) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-08-15 |