| NPI | 1831689595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113665) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 186034) |
| 163W00000X Registered Nurse (Licence: WY 33231) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP137535) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2021-08-02 |