| NPI | 1407333784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A006114) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP138136) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-08-30 |