| NPI | 1740689108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137589) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 775261) |
| 363L00000X Nurse Practitioner (Licence: AZ AP7308) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-10-10 |