| NPI | 1851872501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141671) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 308018) |
| 163W00000X Registered Nurse (Licence: TX 966908) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5011022) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-03-23 |