| NPI | 1134700396 |
|---|---|
| Former Name | SONJA LATRECE BILLUPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11022578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9476775) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-11-10 |