| NPI | 1235364530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117699) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 515152) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 515152) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP117699) | |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2023-12-19 |