| NPI | 1366963522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134001) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX AP134001) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP134001) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2021-11-23 |