| NPI | 1174247779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1000137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021726) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-11-24 |