| NPI | 1407468788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM 61144) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1034340) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-02-23 |