| NPI | 1215474036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP133159) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 896222) |
| 163W00000X Registered Nurse (Licence: OK 89982) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |