| NPI | 1780932699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9251761) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126127) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2014-11-10 |