| NPI | 1447658729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F1114293) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2023-04-04 |