| NPI | 1417203753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 824916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN251256) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 746262) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP122155) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2019-12-12 |