| NPI | 1386070977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD RN162781) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1003021) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2016-09-19 |