| NPI | 1457922783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 280587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ f06211981) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX F0621181) | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2024-09-25 |