| NPI | 1861745960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122748) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 698144) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2024-04-05 |