| NPI | 1972890283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003557) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1766) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 87408) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-12-30 |