| NPI | 1669867339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132051) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 5909) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2016-11-22 |