| NPI | 1245730449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136623) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TX 765476) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2021-07-15 |