| NPI | 1184003501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006308A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 736145) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-09-22 |