| NPI | 1578035242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9448020) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11001211) | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2024-11-21 |