| NPI | 1457744989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1076088) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1076088) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 19698) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2023-04-20 |