| NPI | 1225371537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135776) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 667413) |
| 363L00000X Nurse Practitioner (Licence: TX AP135776) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2017-12-01 |