| NPI | 1144461757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA 105881) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28197693A) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 829265) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 141990-7545) | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2015-01-12 |