| NPI | 1932458908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP122067) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 646772) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2024-05-08 |