| NPI | 1003264755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031769) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A182086) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC007297) | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2025-02-20 |