| NPI | 1770065781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10007782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141118) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2024-02-22 |