| NPI | 1801989215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP107313) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 548086) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 548086) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2019-08-05 |