| NPI | 1093715484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 663438) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-10-31 |