| NPI | 1669962262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1015721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008990) |
| 163W00000X Registered Nurse (Licence: TX 826252) | |
| 163W00000X Registered Nurse (Licence: CA 95148647) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-12-11 |