| NPI | 1427193598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0993032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 685472) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2017-05-01 |