| NPI | 1942773841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017377) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-07-10 |