| NPI | 1093156309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003484) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120099) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2024-09-10 |