| NPI | 1477782936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 709950) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2020-10-14 |