| NPI | 1255963682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 838490) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 211289) | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2023-02-02 |