| NPI | 1528593472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP133984) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 80235) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP133984) | |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2023-05-04 |