| NPI | 1487026712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129442) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 755236) |
| 163WG0000X Registered Nurse, General Practice (Licence: TX AP129442) | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2017-04-25 |