| NPI | 1376990796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11031750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130588) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2025-01-06 |