| NPI | 1215419619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1003328) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 887329) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2020-10-08 |