| NPI | 1386884591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114943) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 657308) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2022-04-26 |