| NPI | 1790831493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124611) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 257713) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 257713) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-04-15 |