| NPI | 1083706394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 20041208) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 537512) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-10-29 |