| NPI | 1952901415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11019655) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187462) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 269478) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1016716) | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-11-19 |