| NPI | 1487315263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1058906) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1058906) |
| 363L00000X Nurse Practitioner (Licence: TX 1058906) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1058906) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2024-04-30 |