| NPI | 1720566235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP138154) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: TX 799378) |
| 208800000X Urology (Licence: TX AP138154) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP138154) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP138154) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP138154) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2022-07-12 |