| NPI | 1043694128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9184278) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP145344) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2023-10-17 |