| NPI | 1689124752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132170) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2020-06-25 |