| NPI | 1093728545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 584968) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-03-17 |