| NPI | 1578221917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 267353) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1154865) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2024-08-08 |