| NPI | 1043281199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 2094) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MO RN096032) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-09-09 |