| NPI | 1538171483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 786689) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 540934) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-02-02 |