| NPI | 1295758548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114676) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 666753) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP114676) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-01-26 |