| NPI | 1528427200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130382) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX AP130382) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2023-05-10 |