| NPI | 1801807136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 037611322) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R59688) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP112068) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2024-01-10 |