| NPI | 1043678873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP129882) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 664079) |
| 363L00000X Nurse Practitioner (Licence: TX F1115272) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP129882) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2022-07-18 |