| NPI | 1992034391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP118218) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 502558) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2024-02-26 |