| NPI | 1225379118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 688378) |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2020-06-17 |