| NPI | 1316384779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123814) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 715414) |
| Enumeration Date | 2013-05-25 |
| Last Update Date | 2015-06-15 |