| NPI | 1346880028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP144338) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP144338) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2024-09-26 |