| NPI | 1790034908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025356) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11025356) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 758148) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP122055) | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2024-01-23 |