| NPI | 1609341510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138044) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 841669) |
| 363L00000X Nurse Practitioner (Licence: TX AP138044) | |
| Enumeration Date | 2018-10-06 |
| Last Update Date | 2023-07-24 |