| NPI | 1083844310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9166428) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 762261) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2011-06-28 |