| NPI | 1245918028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1147720) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 33709) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-02-05 |