| NPI | 1982139242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP133821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 719450) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2018-11-27 |