| NPI | 1093962094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 226772) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 598235) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |