| NPI | 1194974634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 515478) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 515478) |
| 163WG0100X Registered Nurse, Gastroenterology (Licence: TX 515478) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |