| NPI | 1467186072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1090617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 576699) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-05-03 |