| NPI | 1225560162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132010) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2018-05-18 |