| NPI | 1053849406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134700) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX AP134700) |
| 208000000X Pediatrics (Licence: TX AP134700) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-01-07 |