| NPI | 1316371578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.24871) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2023-09-19 |