| NPI | 1386284651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 113841-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP137581) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2025-04-30 |