| NPI | 1720585409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138420) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: TX 726975) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP138420) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2022-09-21 |