| NPI | 1326374802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 814566) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP121536) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2022-10-05 |