| NPI | 1598079519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP131925) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F336361-1) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2020-01-02 |