| NPI | 1609299775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP125149) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 785739) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX F0114451) | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2024-09-19 |