| NPI | 1386652436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP112010) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 254054) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-04-18 |