| NPI | 1124330360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 680597) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2025-07-02 |