| NPI | 1063730828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 735336) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 735336) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2014-08-15 |