| NPI | 1508157975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R194814) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 799438) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2023-11-01 |