| NPI | 1447731955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137815) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 606632) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-02-24 |