| NPI | 1295224244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP140533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 819172) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP140533) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP140533) | |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2023-12-12 |