| NPI | 1336424878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 710142) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN APN0000006924) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2023-02-18 |