| NPI | 1952761553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP001091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130431) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC002707) | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2025-01-20 |