| NPI | 1396182663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP123516) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 750428) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2016-07-22 |