| NPI | 1972808962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9270527) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 104004) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024040582) | |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2024-12-12 |