| NPI | 1447635461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128397) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP500007162) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 779886) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-01-04 |