| NPI | 1699370346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1007985) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 1007985) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2021-08-17 |