| NPI | 1316298722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP07053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP128827) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2023-10-06 |