| NPI | 1356894240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130813) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2021-10-21 |