| NPI | 1720311160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 38986) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0104974-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002378) | |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2025-09-10 |