| NPI | 1306934575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 586729) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 586729) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-03-03 |