| NPI | 1528578051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 819660) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2022-12-06 |