| NPI | 1417938879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP104815) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 504124) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-07-08 |