| NPI | 1427074327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP115220) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 571437) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-04-24 |