| NPI | 1073783247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 333866-4405) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: UT 333866-4405) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2015-10-13 |