| NPI | 1881226157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006013) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144890) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-06-04 |