| NPI | 1104408186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013427) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1035235) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-09-15 |