| NPI | 1396105656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129468) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-000629) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 33802) | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2024-05-06 |