| NPI | 1417445479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138744) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 726118) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2021-11-04 |