| NPI | 1811470792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140277) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 856475) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-01-21 |