| NPI | 1568013951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31113) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143083) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2022-06-03 |