| NPI | 1548631195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP129105) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP129105) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2024-06-05 |