| NPI | 1285058305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 109316-7591) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX API125571) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2022-10-26 |