| NPI | 1356821284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP137386) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TX 822369) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |