| NPI | 1902349848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP09035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134054) |
| 363L00000X Nurse Practitioner (Licence: LA AP09035) | |
| 363LF0000X Nurse Practitioner Family (Licence: LA 09035) | |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2023-03-21 |