| NPI | 1376137547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 10507393-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10507393-3102) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2024-05-24 |