| NPI | 1043054349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 13340981-8900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 13340981-4405) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |