| NPI | 1801345673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 078439-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132005) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2021-01-28 |