| NPI | 1922553320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 821727) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-01-02 |