| NPI | 1417490756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10327) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132368) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2023-01-06 |