| NPI | 1720556855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135256) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2021-06-23 |