| NPI | 1346403946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1012289) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-12-30 |