| NPI | 1306300090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP140317) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP140317) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP140317) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP140317) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP140317) | |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2024-02-05 |