| NPI | 1588777544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 680008) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 680008) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 680008) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2012-06-11 |