| NPI | 1003148735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 596032) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TX 596032) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2012-10-11 |