| NPI | 1922495985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP128023) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP128023) |
| 163W00000X Registered Nurse (Licence: TX 749877) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-04-30 |