| NPI | 1942917562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 70740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1105758) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-10-16 |