| NPI | 1134504426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP130283) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 204428) |
| 363LF0000X Nurse Practitioner Family (Licence: ND R45403) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX 781923) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2022-01-11 |