| NPI | 1457517500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP117128) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP117128) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 753734) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2024-09-03 |