| NPI | 1346850369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1016662) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 801743) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX F09200291) | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2022-03-01 |