| NPI | 1366033474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1045862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1045862) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-10-13 |