| NPI | 1285739953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1006642) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 12412) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-11-16 |