| NPI | 1538783949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10640279-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 106402793102) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2021-12-20 |