| NPI | 1346554599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 843817) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 079654) |
| 363L00000X Nurse Practitioner (Licence: CT 004412) | |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2023-07-06 |