| NPI | 1518286392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP139219) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R867359) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2019-02-06 |