| NPI | 1124333299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 800018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OK 67755) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2012-04-16 |