| NPI | 1730681099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 827049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP136847) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2020-03-23 |