| NPI | 1306377148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX AP133056) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133056) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 8184) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP133056) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-09-06 |