| NPI | 1265704555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121448) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 746303) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2020-06-02 |