| NPI | 1891294161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 62480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136385) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2022-02-23 |