| NPI | 1699177758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133811) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R084623) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A004224) | |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2021-10-06 |