| NPI | 1063750057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP124311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC F1212401) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2022-11-09 |