| NPI | 1457774283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 787922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124575) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2018-02-12 |