| NPI | 1225190416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 249773) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: TX 249773) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-10-14 |