| NPI | 1265782197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000019184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 2144) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2015-12-10 |