| NPI | 1003238353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1055550) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX F1113015) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018106) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02392) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2024-06-17 |