| NPI | 1033736533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP146039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 34302) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2022-02-16 |