| NPI | 1699964155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP111258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 236844) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2015-06-16 |