| NPI | 1154512382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC rx3228) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127899) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-09-26 |