| NPI | 1518435197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP139712) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 718884) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-16 |