| NPI | 1235501719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174518) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129437) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2024-01-16 |