| NPI | 1598251209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138135) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP10122) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP138135) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP10122) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2020-05-12 |