| NPI | 1174533012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 1348) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 556856) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2013-08-26 |