| NPI | 1205392594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F01190550) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-05-12 |