| NPI | 1114178811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP116771) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 747630) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2015-07-01 |