| NPI | 1053892240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138509) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP138509) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP138509) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP138509) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2023-01-03 |