| NPI | 1073821617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119392) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 782784) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2024-05-31 |