| NPI | 1013931732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 559894) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 46651) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-06-14 |