| NPI | 1962950808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R241733) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131882) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2024-04-08 |