| NPI | 1326276874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 825221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN138060) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2012-09-24 |