| NPI | 1215448428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP134774) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP134774) | |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2022-08-30 |