| NPI | 1265955223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX ap134882) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 839920) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX ap134882) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2020-06-26 |