| NPI | 1730199308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115185) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 722028) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-315) | |
| 163W00000X Registered Nurse (Licence: HI RN-46825) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-09-22 |