| NPI | 1467992719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP132168) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP132168) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132168) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2024-09-26 |