| NPI | 1710357181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 276911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP128731) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2022-07-22 |