| NPI | 1134511017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127548) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2023-04-14 |