| NPI | 1871935957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP123681) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 739452) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 739452) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP123681) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2023-05-24 |