| NPI | 1336308956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 650427) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 650427) |
| 363L00000X Nurse Practitioner (Licence: TX AP115969) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP115969) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 650427) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP115969) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2025-08-14 |