| NPI | 1417592445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: TX AP144559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 640487) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX AP144559) | |
| 363L00000X Nurse Practitioner (Licence: TX AP144559) | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2022-09-20 |