| NPI | 1649525403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX AP121774) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2012010796) |
| 163W00000X Registered Nurse (Licence: TX 825419) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP121774) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2015-12-07 |