| NPI | 1245272756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 720296) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 720296) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 720296) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2012-09-28 |