| NPI | 1114376613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61664202) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2025-04-01 |