| NPI | 1588236442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 4885433-8900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 4885433-8900) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2024-01-29 |