| NPI | 1184038432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 733982) |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2023-01-26 |