| NPI | 1427692722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 143842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9469640) |
| 163W00000X Registered Nurse (Licence: WI 229054-30) | |
| 163W00000X Registered Nurse (Licence: TX 979167) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |