| NPI | 1154935203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1106384) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008809) |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2023-01-26 |