| NPI | 1487010393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14464-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131979) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2024-05-23 |