| NPI | 1194281931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1115452) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903145) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2023-11-10 |