| NPI | 1336679000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134191) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 820042) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-02-27 |