| NPI | 1366004889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141984) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX AP141984) |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2019-07-04 |