| NPI | 1235384850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 710186) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 710186) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01510) | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2023-10-23 |