| NPI | 1417666801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6776664-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 6776664-3102) |
| 225700000X Massage Therapist (Licence: UT 6776664-4701) | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-05-31 |