| NPI | 1245716638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1087986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 863192) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 863192) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2022-07-19 |