| NPI | 1730732926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 117228) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2022-10-13 |