| NPI | 1487350369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11024910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1017168) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2024-01-22 |