| NPI | 1356821748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP138274) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 689261) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2022-05-19 |