| NPI | 1811231830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 834434) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NURRNLIC37184) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-11-27 |