| NPI | 1518942358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 639393) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9207392) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2011-06-21 |