| NPI | 1487214862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX APRN-1081148) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28221124A) |
| 363L00000X Nurse Practitioner (Licence: IN 71009217A) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-06-01 |