| NPI | 1023677556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141790) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 92923) |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2024-04-17 |