| NPI | 1386941813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 602339) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 602339) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2023-06-27 |