| NPI | 1114435518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1014551) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011848) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011848) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-01-20 |