| NPI | 1518317304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1156716) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9371206) |
| 363LF0000X Nurse Practitioner Family (Licence: GA RN293548) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2024-04-19 |