| NPI | 1033324439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004241) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129880) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-04-13 |