| NPI | 1952821753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 3098529-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: UT 3098529-4405) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-11-09 |