| NPI | 1699054668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 801467) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2018-03-17 |