| NPI | 1275865255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP118843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 667788) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2022-08-05 |