| NPI | 1558064949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1112485) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX 1112485) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: TX 1112485) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TX 1112485) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1112485) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1112485) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1112485) | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-05-15 |