| NPI | 1194331470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 868766) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 61634) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP146179) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-11-14 |