| NPI | 1821567157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP141354) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 891042) |
| 163W00000X Registered Nurse (Licence: NE 79301) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2019-07-19 |