| NPI | 1417136144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP116366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 722583) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2022-02-17 |