| NPI | 1417428004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139940) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP139940) |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2024-03-25 |