| NPI | 1649720095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131729) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |