| NPI | 1033626106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344106-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135622) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201800353NP-PP) | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-12-14 |