| NPI | 1821301466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A001783) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 653437) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2021-10-12 |