| NPI | 1033639810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1016161) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09413) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-09-10 |