| NPI | 1306269790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124683) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 702177) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2024-03-25 |