| NPI | 1023620143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1108517) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 840576) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 110851712) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2024-07-30 |