| NPI | 1689499634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1180549) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 884944) |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-25 |