| NPI | 1780056697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130605) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 889452) |
| 163WE0003X Registered Nurse, Emergency (Licence: IL 041371455) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP130605) | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2022-07-21 |