| NPI | 1871791012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115831) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 256733) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2022-12-02 |