| NPI | 1750576336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 677215) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP115095) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2019-12-11 |