| NPI | 1629630744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ap141787) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP141787) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-10-26 |