| NPI | 1578926440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130672) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 211633) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95006198) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-05-04 |