| NPI | 1588908594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX 00196174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 121728) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-03-17 |