| NPI | 1184048498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 744999) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 744999) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 744999) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX 744999) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2021-11-18 |