| NPI | 1205261849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 828457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP1222942) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2024-04-22 |