| NPI | 1588034722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 083785-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP129118) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2020-12-28 |