| NPI | 1487075545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011107) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2016-11-04 |