| NPI | 1558971374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP1019846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 83003) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2022-06-16 |