| NPI | 1538505284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117821) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 604654) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2022-01-18 |