| NPI | 1831499029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP119563) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP119563) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 685775) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2024-06-17 |