| NPI | 1154831139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134384) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: TX AP134384) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2023-01-30 |