| NPI | 1922636612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP1112588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1112588) |
| 163W00000X Registered Nurse (Licence: PA RN638153) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP021877) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2023-08-11 |