| NPI | 1700288149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP123848) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 800318) |
| 363L00000X Nurse Practitioner (Licence: TX AP1238458) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX 800318) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2024-09-08 |