| NPI | 1073946984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP124084) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX 642100) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX AP124084) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2023-09-18 |