| NPI | 1710172838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP116187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 662866) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2023-06-28 |