| NPI | 1588018832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130851) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2024-12-11 |