| NPI | 1902305246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136409) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 935323) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2022-09-30 |