| NPI | 1346753787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 796930) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2022-11-02 |