| NPI | 1174126460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1028920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 756446) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2023-02-22 |