| NPI | 1689236077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10024300-APRN) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP141935) |
| 363L00000X Nurse Practitioner (Licence: NH 092344-23) | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2024-06-13 |