| NPI | 1831748284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 749592) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-06-16 |