Individual
HA MY TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., AGNP-C
Contact information
Practice address
1259 FM 1463 RD STE 300, KATY, TX 77494-5474
(832) 437-5544
(832) 437-2791
Mailing address
1259 FM 1463 RD STE 300, KATY, TX 77494-5474
(832) 437-5544
(832) 437-2791
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP132482
TX
363LG0600X
Gerontology Nurse Practitioner
AP132482
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP132482
TX
Other
Enumeration date
12/18/2016
Last updated
11/01/2024
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