| NPI | 1184715674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 797604) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 306194) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-09-09 |