| NPI | 1184321747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1113205) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F351259-01) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-07-28 |