| NPI | 1205355021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134073) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F05170113) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-10-17 |