| NPI | 1356717490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP128602) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX AP128602) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP128602) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2024-03-19 |