| NPI | 1306825120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX A01558) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A01558) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2013-06-06 |