| NPI | 1629402896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123717) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP123717) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11017600) | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2024-08-22 |