| NPI | 1386139434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138631) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000024353) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2021-08-06 |