| NPI | 1518479542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX AP136159) |
| 363L00000X Nurse Practitioner (Licence: TX AP136159) | |
| 363L00000X Nurse Practitioner (Licence: FL 9471546) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2024-06-04 |