| NPI | 1639416803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122983) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 686400) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 686400) | |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2021-05-13 |