| NPI | 1073932067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125727) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 586491) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2017-01-10 |