| NPI | 1255769915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 2134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 835853) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 835853) | |
| 363L00000X Nurse Practitioner (Licence: HI 2134) | |
| 163W00000X Registered Nurse (Licence: HI 56642) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2016-10-19 |