| NPI | 1215675616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1077041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F504220482) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-03-22 |