| NPI | 1356618748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP125928) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71003637A) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2022-07-21 |