| NPI | 1740745686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 261978) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139048) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2021-11-16 |