| NPI | 1043766272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130807) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX AP130807) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-08-16 |