| NPI | 1891271524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137482) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 813434) |
| 164X00000X Licensed Vocational Nurse (Licence: TX 177387) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |