| NPI | 1700857141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 118256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28106989A) |
| 163W00000X Registered Nurse (Licence: TX 767542) | |
| 363L00000X Nurse Practitioner (Licence: IN 28106989A) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-01-20 |