| NPI | 1598304115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0002825-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144577) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 63678) | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2021-09-23 |