| NPI | 1447761390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134845) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP134845) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2023-08-16 |