| NPI | 1972521417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 682811) |
| Additional Taxonomies | 364SH1100X Clinical Nurse Specialist, Holistic (Licence: TX AP113331) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-09-27 |