| NPI | 1699218636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R43934) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132430) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2024-06-18 |