| NPI | 1114247749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 537738) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 537738) |
| 163WG0600X Registered Nurse, Gerontology (Licence: TX 537738) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 537738) | |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2010-06-05 |