| NPI | 1316648132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1113186) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 971142) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1113186) | |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2024-08-23 |