| NPI | 1235647157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP135858) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 70625) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2023-11-09 |