| NPI | 1457900904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1108183) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 740843) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1108183) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F344582-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11010457) | |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2024-02-14 |