| NPI | 1528450418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP146059) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000184677) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000024150) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2024-06-18 |