| NPI | 1033511738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1076566) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 225787) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R235120) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 225787) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2022-06-20 |