| NPI | 1619346442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX AP129108) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129108) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2023-11-03 |