| NPI | 1952760381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP131379) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX AP131379) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP131379) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2019-03-18 |