| NPI | 1376977983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07525) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2018-03-28 |