| NPI | 1316223332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1082109) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2370497) |
| 163W00000X Registered Nurse (Licence: TX 1082109) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2370497) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2024-07-01 |