| NPI | 1144689969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02853) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP129733) | |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2023-01-27 |