| NPI | 1679083380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 862603) |
| 163W00000X Registered Nurse (Licence: NY 658567-1) | |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2020-08-19 |