| NPI | 1265969380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 239660) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2025-03-06 |