| NPI | 1992905137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 689259) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 689259) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2009-09-02 |