| NPI | 1689442774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191232) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F08230579) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-09-17 |