| NPI | 1285008805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014184) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2018-07-09 |