| NPI | 1093338345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1036437) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71013106A) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3018187) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-09-24 |