| NPI | 1679971394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9391770) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2022-01-07 |