| NPI | 1528623188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347283) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140608) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2024-10-06 |