| NPI | 1467826826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP130701) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN229195) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2016-09-27 |