| NPI | 1952944654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP143989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP143989) |
| 163WP2201X Registered Nurse Ambulatory Care (Licence: TX 453710) | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2022-08-18 |