| NPI | 1952761553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130431) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-07-18 |