| NPI | 1083183347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 306094) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 28503) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2024-08-13 |