| NPI | 1316289382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 710808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 710108) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2014-11-26 |