| NPI | 1649463084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 599865) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2024-03-25 |