| NPI | 1770803595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 1577) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9242132) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2023-06-05 |