| NPI | 1285857094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 11290045-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 103681) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-11-27 |