| NPI | 1306372867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP133926) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP133926) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP133926) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2020-09-09 |