| NPI | 1942734512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135557) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 672611) |
| 163W00000X Registered Nurse (Licence: GA 154014) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174839) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 154014) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-03-18 |