| NPI | 1124593306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143415) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 143415) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9372859) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2021-04-20 |