| NPI | 1306352711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137212) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP137212) |
| 207Q00000X Family Medicine (Licence: TX 933767) | |
| 363L00000X Nurse Practitioner (Licence: MI 4304344882) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2021-03-19 |