| NPI | 1831654128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144281) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 745069) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2021-02-04 |