| NPI | 1093955536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP117619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117619) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN216283) | |
| 363L00000X Nurse Practitioner (Licence: TX AP117619) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2024-01-02 |