| NPI | 1982837811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP137487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 782593) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2024-05-31 |