| NPI | 1134200991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 446047) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 440647) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-01-03 |