| NPI | 1588919849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 632685) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN830) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100864-C-NP) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-10-11 |