| NPI | 1982612347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM R17462) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 623402) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |