| NPI | 1144826199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1012264) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 852800) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1012264) | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2021-06-25 |