| NPI | 1154810976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP137057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137057) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP137057) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2021-01-25 |