| NPI | 1407471154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144520) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 870829) |
| 163WF0300X Registered Nurse, Flight (Licence: TX 7003754) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |