| NPI | 1477377828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 14153131-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 14153131-8900) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A181342) | |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |