| NPI | 1548546336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124388) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 218018) |
| 363L00000X Nurse Practitioner (Licence: TX AP124388) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP20903) | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2023-10-23 |