| NPI | 1962959007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131887) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11027063) |
| 363L00000X Nurse Practitioner (Licence: AZ 289426) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-05-01 |