| NPI | 1235501263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10574) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129516) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2017-10-13 |