| NPI | 1427393792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122501) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: TX AP122501) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2018-05-31 |