| NPI | 1255841706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP135410) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP135410) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP135410) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2023-04-11 |