| NPI | 1780817163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119117) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19216) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 782925) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2022-07-28 |