| NPI | 1609178995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142566) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 223451-4405) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP142566) | |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2022-02-28 |