| NPI | 1033459912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1146968) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337822) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2024-12-02 |