| NPI | 1235683418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP131252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131252) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP131252) | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2022-07-29 |