| NPI | 1922030485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 77306-03322) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 693725) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-11-08 |