| NPI | 1790130029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F0416302) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2024-11-14 |