| NPI | 1720476872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144251) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP144251) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1036145) | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2020-02-17 |