| NPI | 1639795131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP143975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143975) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 692669) | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2024-09-23 |