| NPI | 1891257234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 23580) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: SC 228128) |
| 163WE0003X Registered Nurse, Emergency (Licence: TX 928599) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP142582) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2020-01-13 |