| NPI | 1265813273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128241) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08287) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2016-08-26 |