| NPI | 1033479225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A03699) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 728813) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |