| NPI | 1467896589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9237449) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126101) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2016-08-12 |