| NPI | 1679941736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1084249) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1084249) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201507005NP-PP) | |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2023-06-08 |