| NPI | 1457017204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1058717) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD ac005537) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC 500009897) | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-06-24 |