| NPI | 1508469099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 857759) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 857759) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1031534) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2021-09-27 |