| NPI | 1629326251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP121944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121944) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 592372) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-01-25 |