| NPI | 1063524791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7639) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 666472) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-03-17 |