| NPI | 1558960849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10640567-4405) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: UT 10640567-3102) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 10640567-4405) | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2023-04-24 |