| NPI | 1831459353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 569556) |
| 163W00000X Registered Nurse (Licence: TX 704294) | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2022-09-13 |