| NPI | 1558315317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 566449) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R43806) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-08-15 |