| NPI | 1457506933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 693753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 693753) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2010-03-02 |