| NPI | 1447581285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 762802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP18079) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2011-02-18 |