| NPI | 1902939358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP118741) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R164966) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-08-26 |