| NPI | 1356099691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1161910) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA GAA-NP00065) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2024-09-16 |