| NPI | 1801529995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1157505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020596) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-06-24 |