| NPI | 1821510108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 764522) |
| 363L00000X Nurse Practitioner (Licence: TX ap134320) | |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2023-11-03 |