| NPI | 1700274909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A004232) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP126641) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2018-08-09 |