| NPI | 1215446760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP141802) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024175413) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175413) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP141802) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-04-18 |