| NPI | 1619433307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 819129) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP140667) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2024-07-01 |