| NPI | 1922541309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 54195) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132183) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2023-06-15 |