| NPI | 1891537692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36560) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1165704) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-11-01 |