| NPI | 1013319128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1016080) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TX 991244) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2022-05-26 |