| NPI | 1528621760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142219) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 894275) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2021-03-30 |