| NPI | 1275975203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 196559) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP127973) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0990816) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2025-04-25 |