| NPI | 1780810887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118955) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN160537) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 783128) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2023-02-04 |