| NPI | 1932228004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 784525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000012468) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A03086) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2013-01-18 |