| NPI | 1699205682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134127) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX AP134127) |
| 363L00000X Nurse Practitioner (Licence: TX AP134127) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-08-22 |