| NPI | 1750896098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R233439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135941) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2020-04-15 |