| NPI | 1114465218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132476) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX AP132476) |
| 282NC0060X General Acute Care Hospital, Critical Access (Licence: TX AP132476) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2024-01-08 |