| NPI | 1558801308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 725258) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP-03161) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP133457) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP133457) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2024-11-26 |