| NPI | 1245880491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145184) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: TX 893644) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-09-22 |