| NPI | 1407165277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP129091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 759432) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2022-09-23 |