| NPI | 1508248410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP132198) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP08370) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2017-04-24 |