| NPI | 1912407750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136753) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 818009) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2022-02-21 |