| NPI | 1982670600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP117900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 148023) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO A0403076) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-06-27 |