| NPI | 1336629740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 54057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139079) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-02-05 |