| NPI | 1992228571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-59819) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134627) |
| 363L00000X Nurse Practitioner (Licence: WA AP61046887) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2025-04-08 |