| NPI | 1730540881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130561) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9331430) |
| 363L00000X Nurse Practitioner (Licence: CO CAPN.0103608-C-NP) | |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2025-02-13 |