| NPI | 1124508478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP138497) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: TX 701170) |
| 208D00000X General Practice (Licence: TX AP138497) | |
| 363L00000X Nurse Practitioner (Licence: TX AP138497) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2022-12-30 |