| NPI | 1629463013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19735) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-04-27 |