| NPI | 1588990725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R224434) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 776362) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2018-08-20 |