| NPI | 1952776890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 87252) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |