| NPI | 1558650515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 730571) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP120155) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2019-04-19 |