| NPI | 1255787396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 7813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129559) |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2024-09-26 |