| NPI | 1770980880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135133) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9199801) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2017-12-12 |