| NPI | 1265677926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 753706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335548) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |