| NPI | 1326516857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP146003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 731606) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2020-08-24 |