| NPI | 1538326749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335142-1) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2017-03-01 |