| NPI | 1083140479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 11155098-4405) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX AP134388) |
| 163W00000X Registered Nurse (Licence: TX 779318) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP134388) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-05-22 |