| NPI | 1710432539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 114987) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9418400) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2023-10-24 |