| NPI | 1396227047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 918590) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2022-05-10 |