| NPI | 1124269899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 714766) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 469271) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-11 |