| NPI | 1811379191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 756287) |
| 363L00000X Nurse Practitioner (Licence: TX AP128540) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2018-03-23 |