| NPI | 1346560273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118441) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 249480) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 249480) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2023-03-15 |