| NPI | 1821412073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 700337) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124937) |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2018-04-13 |