| NPI | 1598112435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 57207) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: TX 812896) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2019-08-07 |