| NPI | 1659643237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 799032) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2017-02-06 |