| NPI | 1114292398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP121653) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2022-06-29 |