| NPI | 1639694060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134255) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 65596) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP134255) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP134255) | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2023-10-10 |