| NPI | 1174787345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP117015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 505410) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP117015) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-07-03 |