| NPI | 1851093736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F03230329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1116995) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-06-28 |