| NPI | 1003352246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 69314) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-11-11 |