| NPI | 1245901693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX F09211353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11015594) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11015594) | |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2023-10-19 |