| NPI | 1366892614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141948) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP141948) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNS0460) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R 83276-0) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-04-25 |