| NPI | 1275892093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121522) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 363L00000X Nurse Practitioner (Licence: TX 762114) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2024-09-16 |