| NPI | 1609167014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 699562) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP118966) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2021-05-05 |