| NPI | 1003382037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP139312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139312) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2021-04-09 |