| NPI | 1487168415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136146) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 744172) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2021-08-23 |