| NPI | 1386697829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11001904) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30003872) |
| 363L00000X Nurse Practitioner (Licence: TX 852920) | |
| 363L00000X Nurse Practitioner (Licence: TX AP125533) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-11-06 |