| NPI | 1053785634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 736312) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 73AP136355) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2020-03-11 |