| NPI | 1578051314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP137064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 938960) |
| 163W00000X Registered Nurse (Licence: FL RN9192219) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-12-14 |