| NPI | 1669918603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 550551) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP130256) | |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2020-11-20 |