| NPI | 1194110924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127832) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22444) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-07-11 |