| NPI | 1215799853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1150860) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: TX 1150860) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1150860) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1150860) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: TX 1150860) | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-06-20 |