| NPI | 1891248571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11001) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131255) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2019-05-28 |