| NPI | 1588874473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 655217) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-11-13 |