| NPI | 1578114617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 215232) |
| 363L00000X Nurse Practitioner (Licence: OK 215232) | |
| 363L00000X Nurse Practitioner (Licence: TX AP143108) | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2024-12-26 |