| NPI | 1568968972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137322) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341647-1) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2020-11-03 |