| NPI | 1699127845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137740) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701804) |
| 163W00000X Registered Nurse (Licence: TX 943237) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 341474) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2018-08-22 |