| NPI | 1083002851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126742) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201903391) |
| 363L00000X Nurse Practitioner (Licence: OR 201903391NP-PP) | |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2023-05-12 |