| NPI | 1982904876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119664) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 773080) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2022-03-16 |