| NPI | 1184908204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX F1111190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 708650) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2012-01-27 |