| NPI | 1528692290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1000563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 795624) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2022-10-03 |