| NPI | 1518471804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9320741) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2019-11-14 |