| NPI | 1164815247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126369) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TX AP126369) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2024-07-13 |