| NPI | 1912208067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 799261) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2017-03-22 |