| NPI | 1023464922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 13570261-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 002269) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-12-22 |