| NPI | 1346224698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45629) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 608838) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2016-10-21 |