| NPI | 1619169752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1056729) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: TX 738171) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2022-01-03 |