| NPI | 1699230508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001293) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001293) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003562-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1067979) | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2022-04-04 |