| NPI | 1982226874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 145927) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2021-01-21 |