| NPI | 1407819311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 578962) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 578962) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2009-04-08 |