| NPI | 1679008981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133432) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 107503) |
| 163W00000X Registered Nurse (Licence: TX 834706) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 107503) | |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |