| NPI | 1245969708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 8471372-3102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020107) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2025-05-12 |