| NPI | 1548595937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP118166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 705268) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2014-09-09 |