| NPI | 1548398928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP114056) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 571066) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2016-07-30 |