| NPI | 1407046279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 641578) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 641578) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2012-02-14 |