| NPI | 1548841406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1049150) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1049150) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1049150) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-07-18 |