| NPI | 1780127738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132699) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX AP132699) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2023-09-01 |