| NPI | 1215331996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004221) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004221) |
| 363L00000X Nurse Practitioner (Licence: TX AP128121) | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2024-06-03 |