| NPI | 1649768953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11330) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2023-06-08 |