| NPI | 1740730944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1064335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9021) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2023-10-02 |