| NPI | 1003915596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP108733) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 595120) |
| 207P00000X Emergency Medicine (Licence: TX AP108733) | |
| 207P00000X Emergency Medicine (Licence: TX 595120) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-04-11 |