| NPI | 1861887309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP127869) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP127869) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2016-04-26 |