| NPI | 1013550037 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142558) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F0319036B) | 
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1013550037) | |
| Enumeration Date | 2019-10-22 | 
| Last Update Date | 2023-04-04 |