| NPI | 1588141741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 5392782-8900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 5392782-4405) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2022-12-11 |