| NPI | 1588933774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2009038257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 845363) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2013-11-21 |