| NPI | 1770035909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 645370) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2019-05-07 |