| NPI | 1407416266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 227592) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141847) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-10-09 |