| NPI | 1619579703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 39117) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1030370) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 896009) | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2026-04-13 |