| NPI | 1942459425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP123228) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201050033NP) |
| 163W00000X Registered Nurse (Licence: OR 201040434RN) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2018-05-21 |