| NPI | 1477063006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135477) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 744511) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 744511) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 744511) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2024-02-23 |