| NPI | 1598223679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 141511) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2023-09-19 |