| NPI | 1891046801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 232360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 741402) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2023-11-28 |