| NPI | 1679086060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP135095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R894403) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2022-02-23 |