| NPI | 1871543207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP105407) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 544760) |
| 363L00000X Nurse Practitioner (Licence: TX AP105407) | |
| 363L00000X Nurse Practitioner (Licence: CO 20005) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-05-26 |