| NPI | 1932463403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121829) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 650975) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-08-08 |