| NPI | 1588988695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP137816) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-099721) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2018-11-20 |