| NPI | 1366748972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP120323) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 20345) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 701421) | |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2015-09-16 |