| NPI | 1689179400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F02180363) |
| 163WE0003X Registered Nurse, Emergency (Licence: TX 763281) | |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2021-01-12 |