| NPI | 1427259951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132528) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 712707) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2018-01-12 |