| NPI | 1447781380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1095423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1095423) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-124773) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-04-25 |