| NPI | 1063907285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 788010) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 788010) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2021-06-15 |