| NPI | 1447252499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28172466A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 670289) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2015-11-02 |