| NPI | 1518236298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 572071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 572071) |
| Enumeration Date | 2011-12-24 |
| Last Update Date | 2014-03-06 |