| NPI | 1053819797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136302) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP136302) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL AP136302) | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-03-29 |