| NPI | 1417425992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP102128) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-001827) |
| 363L00000X Nurse Practitioner (Licence: FL TPAN840) | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2024-08-13 |