| NPI | 1649774183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 110006) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 343581) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2021-09-23 |