| NPI | 1306483201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R212896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143045) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-05-24 |