| NPI | 1780165712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP10429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 843958) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-04-09 |