| NPI | 1700970449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1187653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1187653) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP7029) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-08-02 |