| NPI | 1992081012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 700004) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2023-04-07 |