| NPI | 1376622993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP112360) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX 573482) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 573482) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-01-17 |