| NPI | 1124268529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117554) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 656857) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP117554) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 656857) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2024-01-17 |