| NPI | 1740703487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134853) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 781415) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-07-21 |