| NPI | 1932339223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 726668) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 558470) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |