| NPI | 1578916458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 85483) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP131400) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 85483) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP131400) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2025-08-23 |