| NPI | 1598014953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 282479-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP4728) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2021-09-14 |