| NPI | 1992119705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 612779) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 612779) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |