| NPI | 1346689494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123708) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX 547135) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-12-14 |