| NPI | 1609399450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 106368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139007) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-02-03 |