| NPI | 1306321559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2024-09-03 |