| NPI | 1689816852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129772) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335628-1) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2016-05-19 |