| NPI | 1184920894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 143676) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: TX 667113) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2020-02-05 |