| NPI | 1528526795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 02190697) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-06-11 |