| NPI | 1063064533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141817) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP141817) |
| 363L00000X Nurse Practitioner (Licence: TX AP141817) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2023-08-15 |