| NPI | 1609955525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 748540) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 494884) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK R0084712) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-04-04 |