| NPI | 1083998355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142788) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 750313) |
| 163WA2000X Registered Nurse, Administrator (Licence: TX 750313) | |
| 163WC1500X Registered Nurse, Community Health (Licence: TX 750313) | |
| 163WG0000X Registered Nurse, General Practice (Licence: TX 750313) | |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 750313) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 750313) | |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2019-09-05 |