| NPI | 1417781238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1172838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034758) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |