| NPI | 1255664090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP127051) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MD RN169072) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2015-01-28 |