| NPI | 1255649596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 632814) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F345337) | |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2024-02-02 |