| NPI | 1275015562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP138747) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 840699) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP138747) | |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2023-09-13 |