| NPI | 1275193344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AG02190088) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 802535) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AG02190088) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AG02190088) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |