| NPI | 1396154431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126025) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP126025) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP126025) | |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2023-08-06 |