| NPI | 1104306794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139035) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 890826) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-10-02 |