| NPI | 1467148494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1138347) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 75498) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-01-18 |