| NPI | 1023449725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 757924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124319) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2022-12-16 |