| NPI | 1487149316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1136066) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F343100-1) | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2025-01-17 |