| NPI | 1194181511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2053) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9369874) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2021-01-13 |