| NPI | 1598264038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135866) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP135866) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2020-03-18 |