| NPI | 1952846578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 631930) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2018-03-17 |