| NPI | 1558919365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 120682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX ap142376) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-01-06 |