| NPI | 1689004814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124596) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 733229) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3012518) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A003982) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX ap124596) | |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2021-10-25 |