| NPI | 1235313834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A01602) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 593160) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2009-08-03 |