| NPI | 1750513024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 800060) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R77367) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2013-05-24 |