| NPI | 1669595393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 689847) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R193121) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-02-21 |