| NPI | 1215168489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP108831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 637859) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2016-03-30 |