| NPI | 1033617501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 078609-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP135539) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-09-06 |