| NPI | 1942823836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1160490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 8864) |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN2287112) | |
| 363LF0000X Nurse Practitioner Family (Licence: CO APN.0998695-NP) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2025-03-11 |