| NPI | 1548744899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 54422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 350966) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP138045) | |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2023-12-22 |