| NPI | 1770814576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 231343) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01831) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |