| NPI | 1497034607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 784056) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 20768) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2012-03-06 |