| NPI | 1023195849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-46075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 511695) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-05-16 |