| NPI | 1932646940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 613211) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174715) | |
| 163W00000X Registered Nurse (Licence: VA 0001279401) | |
| 163W00000X Registered Nurse (Licence: TX 854699) | |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2021-01-21 |