| NPI | 1043853666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1058997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004377) |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2023-07-24 |